PCR: Penumonia

PRE-ARRIVAL:
Unit 292 responded emergent from headquarters with full crew and without delay for a reported Breathing Problem / Respiratory at 123 Hogwartz Lane in the city of Outer Space.

SUBJECTIVE:
-HPI-
On arrival, found a 61 year Male with a chief complaint of “I’m having trouble breathing,” as stated by patient. Secondary complaint(s) of Vomiting, Fever and Weakness.
Patient stated he awoke with above complaints this morning but recalled feeling normal last night before bed. Complaints worsened with movement, and patient felt best while lying in his bed. Patient describes respiratory distress as an inability to catch his breath and states he feels exactly like he has in the past when he’s contracted aspiration pneumonia. Patient had not tried any interventions before calling 911.

DELTA:
Patients SPO2 rose to 96% and then 100% on NRB, respiration rate returned to normal and patient vocalized relief. Nausea subdued after ondansetron. IV lost en route removed and bandaged before arrival at ED.

-Hand Off-
Full report given to staff upon arrival. Patient transferred to bed 6 via pull sheet, left with bed locked, rails up in staff presence with all therapies continued.